Mycobacterium tuberculosis is the bacteria that causes tuberculosis. It is an acid-fast aerobic bacillus with a waxy cell wall that allows it to survive within host cells and evade the immune system. The bacteria typically infect the lungs but can spread to other organs. Its thick cell wall provides protection and makes tuberculosis infections difficult to treat with antibiotics. Clinical diagnosis involves radiological exams of the chest and testing sputum or biopsied lung samples for the presence of the bacteria.